IndividualActive
Amelia Grantham
NPI 1073810123 · Licensed Practical Nurse · Fort Rucker, AL
Provider details
- NPI number
- 1073810123
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2-052329 (AL)
Specialties & taxonomies
Nursing Service Providers
Practice location
Building 301 Andrews Ave
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
Phone: (334) 255-7547
Approximate (ZIP-level) locationGet directions
Mailing address
Building 301 Andrews Ave
Fort Rucker, AL 36362-5333
Registry dates
- Enumerated
- 2011-02-24
- Last updated
- 2011-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.